GALLERY PHOTOS
(1,500 Images)

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PUERTO BARRIOS, Guatemala (April 17, 2018) Lt. Cmdr. Jason Souza, center, and Lt. Cmdr. Clarence Tang draw incision markers on the face of a Guatemalan patient before a surgery to remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Lt. Cmdr. Jason Souza, center, and Lt. Cmdr. Clarence Tang draw incision markers on the face of a Guatemalan patient before a surgery to remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 18, 2018) Cmdr. Angela Roldan-Whitaker gives a dental exam to a Guatemalan patient at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

Cmdr. Angela Roldan-Whitaker gives a dental exam to a Guatemalan patient at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) Lt. Cmdr. Jason Souza, right, a plastic surgeon, and Dr. Jonathan Maldonado remove a plexiform neurofibroma from a patient's face at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Lt. Cmdr. Jason Souza, right, a plastic surgeon, and Dr. Jonathan Maldonado remove a plexiform neurofibroma from a patient\'s face at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) A Guatemalan patient lies on the operating room table after a U.S. Navy and Guatemalan surgical team removed a plexiform neurofibroma from his face at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan patient lies on the operating room table after a U.S. Navy and Guatemalan surgical team removed a plexiform neurofibroma from his face at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) A Guatemalan patient receives blood donated by his parents while Lt. Cmdr. Jason Souza and Dr. Jonathan Maldonado remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan patient receives blood donated by his parents while Lt. Cmdr. Jason Souza and Dr. Jonathan Maldonado remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) A Guatemalan patient sits with Lt. Cmdr. Reggie Middlebrooks before a surgery to remove his plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan patient sits with Lt. Cmdr. Reggie Middlebrooks before a surgery to remove his plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) A Guatemalan nurse comforts a Guatemalan patient as U.S. Navy anesthesiologists sedate him before a surgery to remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan nurse comforts a Guatemalan patient as U.S. Navy anesthesiologists sedate him before a surgery to remove a plexiform neurofibroma at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 14, 2018) A hospital corpsman positions a patient for an X-ray at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise 2018. Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A hospital corpsman positions a patient for an X-ray at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise 2018. Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 14, 2018) A Guatemalan patient with a facial plexiform neurofibroma waits to be seen by a doctor at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan patient with a facial plexiform neurofibroma waits to be seen by a doctor at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 14, 2018) A Guatemalan patient and his parents, Edgar and Elsa wait to be seen at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

A Guatemalan patient and his parents, Edgar and Elsa wait to be seen at the expeditionary medical unit in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements, medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 17, 2018) Hospitalman Garrett Porter, left, and Lt. Cmdr. Leah Spring inject a Guatemalan patient's nose with a local anesthetic in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/Released)

Hospitalman Garrett Porter, left, and Lt. Cmdr. Leah Spring inject a Guatemalan patient\'s nose with a local anesthetic in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/Released)

Lt. Cmdr. Leah Spring removes a cyst from a Guatemalan patient\'s head in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Master Chief Hospital Corpsman Omar Azmitia leads children and staff from the Hogar de Ninos la Asuncion orphanage to the entrance of the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Master Chief Hospital Corpsman Omar Azmitia leads children and staff from the Hogar de Ninos la Asuncion orphanage to the entrance of the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Musician 1st Class Winnie Dawkins performs for patients with the U.S. Fleet Forces Band at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Musician 1st Class Winnie Dawkins performs for patients with the U.S. Fleet Forces Band at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Hospital Corpsman Brandon Romano irrigates a Guatemalan man's ear at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Hospital Corpsman Brandon Romano irrigates a Guatemalan man\'s ear at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Musician 3rd Class Francisco Ortiz Santana performs with the U.S. Fleet Forces Band at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Musician 3rd Class Francisco Ortiz Santana performs with the U.S. Fleet Forces Band at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Hospital Corpsman 1st Class Annaliza Nilo fills prescriptions in the pharmacy at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Hospital Corpsman 1st Class Annaliza Nilo fills prescriptions in the pharmacy at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Guatemalan patients receive medical care at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Guatemalan patients receive medical care at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

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PUERTO BARRIOS, Guatemala (April 16, 2018) Navy dental personnel drill conduct a dental procedure on a Guatemalan patient at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)

Navy dental personnel drill conduct a dental procedure on a Guatemalan patient at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise (CP) 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 and conduct civil-military operations including humanitarian assistance, training engagements and medical, dental and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico/Released)